Lead Director, Network Management

CVS Health

Kentucky Network Lead Director accountable for strategic partnerships and contract negotiations for Medicaid. Leading relationships and contract strategies to improve quality and financial performance of networks.

Posted 5/22/2026full-timeRemote • Kentucky • 🇺🇸 United StatesSenior💰 $100,000 - $231,540 per yearWebsite

About the role

Key responsibilities & impact

Accountable for developing strategic partnerships for the Kentucky Medicaid Health Plan
Focus on designing conceptual models and negotiating high value contracts
Contracting responsibilities include Medicaid and managing provider compensation
Collaborates cross-functionally to manage provider compensation and pricing development activities
Responsible for identifying and managing cost issues and collaborating on cost-saving initiatives
Represents company with high visibility constituents
Promotes collaboration with internal partners
Evaluates, helps formulate, and implements the provider network strategic plans
Helps mentor and develop others within the department

Requirements

What you’ll need

A minimum of 10 years related experience
Expert level negotiation skills with a successful track record negotiating contracts
Demonstrated experience in Medicaid provider contracting
Hands-on experience with Behavioral Health (BH) network development and contracting
Proven ability to manage the end-to-end contracting lifecycle
Strong knowledge of Medicaid regulations
Experience developing or supporting value-based arrangements
Demonstrated ability to build, manage, and grow strategic relationships
Experience presenting complex information to groups

Benefits

Comp & perks

medical, dental, and vision coverage
paid time off
retirement savings options
wellness programs
comprehensive benefits package designed to support physical, emotional, and financial well-being

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills & Tools

negotiationMedicaid provider contractingcontracting lifecycle managementvalue-based arrangementsBehavioral Health network development

Soft Skills

strategic partnership developmentcollaborationmentoringrelationship managementpresentation skills